Bautista, Kimberly

Bautista, Kimberly is an sole proprietor health care provider with primary practice located at 535 E 119Th St , New York NY 10035-4433. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Bautista, Kimberly can be contacted via phone (917) 691-6222.

Contact Information

Primary practice address
535 E 119Th St New York NY 10035-4433
Phone: (917) 691-6222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1659984409
LBN Legal business name Bautista, Kimberly
Credentials M.S.ED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2020
Last updated Aug 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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